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Disability Action

Disability Action. Update on Developments. Brief History of the Team. Disability Action was set up in 1990 by Dr Chris Moran, as a research project based around 6 GP surgeries. The service is now jointly funded by NHS Dorset and NHS Bournemouth & Poole.

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Disability Action

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  1. Disability Action Update on Developments

  2. Brief History of the Team • Disability Action was set up in 1990 by Dr Chris Moran, as a research project based around 6 GP surgeries. • The service is now jointly funded by NHS Dorset and NHS Bournemouth & Poole. • Disability Action has evolved into an inter-disciplinary team providing a single point of contact, specialist assessment, on-going monitoring, and support for clients with long-term neurological conditions. • The team covers the former South & East Dorset, Bournemouth and Poole areas.

  3. Consultants • Dr. John Burn, Consultant in Rehabilitation and Brain Injury. • Dr. Emma Murphy, Consultant in Rehabilitation Medicine. • Dr. Claire Myint, Consultant in Rehabilitation Medicine, Orthotics and Wheelchair Service. Also have Strong Links with: • Dr. Charles Hillier, Consultant Neurologist with Special Interest in Neuro-Inflammatory Disease.

  4. Client Group and Criteria • Adults (18 years and over). • Neurological/Neuromuscular diagnosis which leads to physical disability. • E.g. Multiple Sclerosis; Huntington’s Disease; Cerbral Palsy; Muscular Dystrophy • Physical disability and related diagnosis is primary problem. • E.g. Not Mental health diagnosis; drug & alcoholism • There is not another similar team or professional managing that patient. • E.g. The Poole MS Team; Parkinson’s Disease Specialist Nurse

  5. Diagnosis of Disability Action Caseload – MS and Other

  6. Diagnosis of Disability Action Clients (Non-MS)

  7. Team Structure

  8. Disability Action Process • Single point of access for people with a long-term neurological condition • Thorough inter-disciplinary assessment and reviews • Access to specialist neurological professional assessment and advice • Regular contact/support from the team as best meets clients’ needs (not time limited)

  9. MDT support of specialist clinics • Inter-agency working • Access to support workers as required • Telephone access to team 5 days per week • Signposting to relevant services/agencies • SOS system available as indicated

  10. Joint Working Disability Action works closely with colleagues in both statutory and voluntary sectors

  11. HDA Regional Care Advisor Social Health & Care REMAP Palliative Care Services Continence Service Disability Wessex GPs, District Nurses, Community Matrons Continuing Health Care Teams Medical Physics DISABILITY ACTION Consultants MND Association Charitable Trusts Community Rehabilitation Services Wheelchair Service Tissue Viability Services Relevant Voluntary Agencies MS Service Specialist PD Nurses MS Society Employment Services

  12. Consultant Rehabilitation Clinics • Dr Emma Murphy • Dr John Burn • Huntington’s Disease Clinic • Evolving inter-agency & MDT clinic involving Consultant, Nurse Specialist, HDA, Genetics, Dentist, Clinical Neuro-Psychology, (DA Therapy) • MS Nurse Led Clinic • Held at Osbourne Day Centre (MS Society) bi-weekly

  13. CP Clinic • Disability Action Specialist Nurse and Therapists will input into the proposed MDT CP clinic • Awaiting consultant lead • Social Health & Care • Joint assessment & review • Joint care planning • Compilation of joint reports as required

  14. Developments • Plan in place for reducing waiting time for initial assessment to 2 weeks by the Summer 2010 • Have developed improved standards for minimum contact • Now able to offer specialist neurological nurse, physiotherapy and OT assessment and advice to all caseload • Have started to jointly develop services for HD • Have started to look at service improvement for clients with Muscular & Myotonic Dystrophy

  15. Are ready to input into MDT CP Clinic • Continue to look at viability of ‘one-stop’ MDT clinics throughout catchment area • SOS process developed • Due to start reviewing Process Map with service users and other interested parties (Meeting August 2009) • Process pathways and database currently being reviewed and updated to improve client care, data collection and facilitate audit • Have started to review standard and outcome measures to best suit client groups and improve quality of data for audit • Team launch to be arranged to improve awareness in primary and secondary care

  16. Contact Details Disability Action Forest Dene Christchurch Hospital Fairmile Road Christchurch Tel. (01202) 705496 E-Mail: disability.action@dorset.nhs.uk

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